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Procedures in COVID-19 Patients: Part-II
Rajesh K Pande1, Ashish Bhalla2, Sheila N Myatra3
1Department of Critical Care Medicine, BLK Center for Critical Care, BLK Superspeciality Hospital, New Delhi, India.
Insights
This paper provides essential guidance for intensive care unit (ICU) practitioners managing critically ill COVID-19 patients. It outlines crucial procedures and protocols for optimal patient care during the pandemic.
Area of Science:
- Critical care medicine
- Infectious diseases
- Pulmonology
Background:
- The COVID-19 pandemic presents unique challenges for critical care, including patient management, comorbidities, and complications.
- Intensive care units (ICUs) face increasing patient loads, necessitating preparedness and adaptation.
- Effective management requires collaboration between ICU practitioners and hospital administrators.
Purpose of the Study:
- To outline essential procedures and protocols for managing critically ill COVID-19 patients in the ICU.
- To provide practical tips for formulating standardized care guidelines.
- To address the multifaceted needs of COVID-19 patients requiring intensive care.
Main Methods:
- This position paper reviews and synthesizes current knowledge and expert opinion.
- It focuses on practical aspects of ICU management for COVID-19 patients.
- Key areas covered include imaging, renal replacement therapy, and patient transfers.
Main Results:
- Critically ill COVID-19 patients require various imaging modalities (X-ray, USG, ECHO, CT).
- Renal replacement therapy (RRT) is frequently needed for acute kidney injury or chronic renal insufficiency.
- Safe patient transfer protocols are vital for continuity of care.
Conclusions:
- Standardized protocols and procedures are crucial for effective ICU management of COVID-19 patients.
- Adaptable strategies are necessary to manage the surge in critically ill patients.
- Multidisciplinary collaboration is key to navigating the complexities of COVID-19 critical care.
Abstract:
Critical care in the era of novel coronavirus disease-2019 (COVID-19) infection has multiple challenges including management of the patient, underlying comorbidities, and the complications. With no end in sight to the pandemic, intensive care unit (ICU) practitioners and hospital administrators have to join hands to prepare for the long battle ahead. Critically ill COVID-19 patients need imaging or image-guided interventions in one form or the other including X-rays, ultrasonography (USG), echocardiography (ECHO), and CT scan. These patients often require renal replacement therapy (RRT) for either the preexisting chronic renal insufficiency or acutely developing kidney injury. Another important component of care is transfer of the patient to and fro from the ICU or to higher care centers. Most of the ICUs are equipped with modern facilities but with increasing number of patients a large number of makeshift arrangements are being made for managing these patients. This position paper outlines important tips to formulate protocols and procedures for critically ill patients, who are managed in the ICU. How to cite this article: Pande RK, Bhalla A, Myatra SN, Yaddanpuddi LN, Gupta S, Sahoo TK, et al. Procedures in COVID-19 Patients: Part-II. Indian J Crit Care Med 2020;24(Suppl 5):S272-S279.
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